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Profile Name | CD274 amp |
Gene Variant Detail | |
Relevant Treatment Approaches | PD-L1/PD-1 antibody |
Molecular Profile | Indication/Tumor Type | Response Type | Relevant Treatment Approaches | Therapy Name | Approval Status | Evidence Type | Efficacy Evidence | References |
---|---|---|---|---|---|---|---|---|
CD274 amp | carcinoma | sensitive | PD-L1/PD-1 antibody | Pembrolizumab | Case Reports/Case Series | Actionable | In a clinical case study, a patient with cancer of unknown primary harboring CD274 amplification and overexpression, and a hypermutated genome was sensitive to Keytruda (pembrolizumab), demonstrating tumor regression after two months of treatment and a near complete remission after six months of treatment (PMID: 27900363). | 27900363 |
CD274 amp | basal cell carcinoma | predicted - sensitive | PD-L1/PD-1 antibody | Nivolumab | Case Reports/Case Series | Actionable | In a clinical case study, a patient with metastatic basal cell carcinoma harboring CD274 amplification and a high mutational burden was sensitive to treatment with Opdivo (nivolumab), demonstrating reduced lesion size after two months of treatment and a nearly complete regression of liver lesions after four months of treatment (PMID: 27942391). | 27942391 |
CD274 amp | Advanced Solid Tumor | predicted - sensitive | PD-L1/PD-1 antibody | unspecified PD-1 antibody | Case Reports/Case Series | Actionable | In a clinical study, 66.7% (6/9) of advanced solid tumor patients harboring CD274 amplification demonstrated an objective response when treated with a PD-1/PD-L1 monotherapy (5 patients), a PD-1/PD-L1 therapy combined with an investigational drug (3 patients), or a combination of an anti-PD-1 and anti-CTLA4 therapy (1 patient) (PMID: 29902298). | 29902298 |
CD274 amp | Advanced Solid Tumor | predicted - sensitive | PD-L1/PD-1 antibody | unspecified PD-L1 antibody | Clinical Study | Actionable | In a clinical study, 66.7% (6/9) of advanced solid tumor patients harboring CD274 amplification demonstrated an objective response when treated with a PD-1/PD-L1 monotherapy (5 patients), a PD-1/PD-L1 therapy combined with an investigational drug (3 patients), or a combination of an anti-PD-1 and anti-CTLA4 therapy (1 patient) (PMID: 29902298). | 29902298 |
CD274 amp | lung non-small cell carcinoma | predicted - sensitive | PD-L1/PD-1 antibody | Nivolumab | Clinical Study - Cohort | Actionable | In a clinical study, treatment with Opdivo (nivolumab) did not result in a significant overall response rate (ORR) in non-small cell lung cancer (NSCLC) patients with a CD274 copy number gain (CNG; amplification and polysomy) vs patients without a CNG (28.1% vs. 17.9%; p=0.22), but NSCLC patients with CD274 amplification demonstrated an ORR of 80% (4/5), a 1-year progression-free survival of 80%, a 1-year overall survival of 100%, and the median duration of response was not yet reached (PMID: 32955570). | 32955570 |
CD274 amp | lung non-small cell carcinoma | predicted - sensitive | PD-L1/PD-1 antibody | Nivolumab | Case Reports/Case Series | Actionable | In a clinical case study, a CD274 (PD-L1) amplified non-small cell lung carcinoma patient treated with Opdivo (nivolumab) achieved stable disease with a 20% reduction in tumor growth and a progression-free survival of 9.7 months (PMID: 32955570). | 32955570 |